Trauma-informed training and clinical supervision as moderators of compassion fatigue, when controlling for burnout and a personal history of trauma.

摘要

The purpose of this dissertation was to explore whether training and clinical supervision were predictive of compassion fatigue when controlling for burnout and personal history of trauma. The study used quantitative methodology to analyze the relationships among the predictor variables training, clinical supervision, burnout, and personal history of trauma and the criterion variable, compassion fatigue as measured by compassion satisfaction and secondary traumatic stress. The sample was 217 mental health care providers serving traumatized persons in Washington State, Wisconsin, Michigan, New York, and Maryland. Participants completed the ProQol and endorsed one of three levels of training (no trauma-specific training, some trauma-specific training or trauma certificate training), whether or not they receive clinical supervision, and whether or not they have a personal history of trauma. Sequential multiple linear regression analyses were used to assess whether the predictor variables predicted compassion fatigue. A multiple regression with interaction terms was performed to assess whether clinical supervision moderated the association between training and compassion satisfaction. The results show that, burnout was the best predictor of both secondary traumatic stress (t(215) = 13.60, p < .001) and compassion satisfaction (t(215) = -15.51, p < .001). Neither training nor clinical supervision were significant predictors of secondary traumatic stress when controlling for burnout and personal history of trauma. Training was a significant predictor of compassion satisfaction. However, clinical supervision was not a unique predictor of compassion satisfaction. None of the interaction terms were significant predictors of either secondary traumatic stress or compassion satisfaction.